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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Constipation While Suffering From IBS Be Treated?

Hello my father is using amitriptaline for IBS but he has constipation and feeling severe pain i gave himm 15 ml of lactulose + 10 mg tabs of bisacodyl qhat canido else to relieve his pain quickly and how long will the medicine take to givean effect putting in mind that my father is hypertensive and has MI
Mon, 19 Feb 2018
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General & Family Physician 's  Response
Hello,

Thanks for your query on HCM

"As"per your clinical history is concerned please follow like this -

1)Do a clinical examination by your treating Doctor [gastroenterologist]and do few investigations like [Colonoscopy,Ct scan, and stool RE/ME]

2)If you have bothersome bloating or are passing considerable amounts of gas, then you cut out such items as carbonated beverages, vegetables especially cabbage, broccoli and cauliflower and raw fruits.

3)Try to eliminate FODMAPs from diets[Do consult with your dietitian to make a chart]

4)For constipation discuss fiber supplements like [methylcellulose] and osmotic laxative such as milk of magnesia or polyethylene glycol.

5)For pain discuss about [dicyclomine]and secondary bacterial growth [rifaximin] along with probiotic lactobacillus.

6)Do progressive relaxation exercises. These help you relax muscles in your body, one by one. Start by tightening the muscles in your feet, then concentrate on slowly letting all the tension go. Next, tighten and relax your calves. Continue until the muscles in your body, including those in your eyes and scalp, are relaxed.

Hope that helps
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How Can Constipation While Suffering From IBS Be Treated?

Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a clinical examination by your treating Doctor [gastroenterologist]and do few investigations like [Colonoscopy,Ct scan, and stool RE/ME] 2)If you have bothersome bloating or are passing considerable amounts of gas, then you cut out such items as carbonated beverages, vegetables especially cabbage, broccoli and cauliflower and raw fruits. 3)Try to eliminate FODMAPs from diets[Do consult with your dietitian to make a chart] 4)For constipation discuss fiber supplements like [methylcellulose] and osmotic laxative such as milk of magnesia or polyethylene glycol. 5)For pain discuss about [dicyclomine]and secondary bacterial growth [rifaximin] along with probiotic lactobacillus. 6)Do progressive relaxation exercises. These help you relax muscles in your body, one by one. Start by tightening the muscles in your feet, then concentrate on slowly letting all the tension go. Next, tighten and relax your calves. Continue until the muscles in your body, including those in your eyes and scalp, are relaxed. Hope that helps